PEDIATRICS Vol. 44 No. 2 August 1969, pp. 271-273
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Comprehensive Care of an 8-year-old Boy Following Traumatic Amputation of the Glans Penis

H. Bartlett Vincent Jr. M.D.1 and Michael B. Rothenberg M.D.1

1 Departments of Psychiatry and Pediatrics, University of Washington School of Medicine, 1959 N.E. Pacific Avenue, Seattle, Washington 98105

We have presented a case of a child severely traumatized, both physically and emotionally. We feel that this and similarly difficult cases are well within the field of competent, comprehensive care that the pediatrician can provide. By means both of his proximity to the problems and in most cases by his familiarity with the psychological makeup of the patient, he is in the best position not only to initiate but to carry through prophylactic psychiatric care. The goals of minimizing both the trauma of hospitalization and long-term psychiatric sequelae can best be met by the pediatrician who can, in a non-threatening and in a non-pressuring manner, first listen to and then talk with the child and outline the thoughts and feelings that might occur in children similarly incapacitated.

The child's ability to communicate can be facilitated by using a three-step process including the "third person technique" and the "option play" which have been outlined. Finally, it is our impression that the pediatrician often underestimates his ability to assume the role of primary physician, who is responsible for the total care of the child.




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